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PHYSICIAN CONSULTANT ASSOCIATES LLC
NPI 1386185965
Point of Service in Winter Haven, FL

Active since March 15, 2017
550 POPE AVE NW, WINTER HAVEN, FL 33881(863) 299-2636(863) 662-5288 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physician Consultant Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN CONSULTANT ASSOCIATES LLC (NPI 1386185965) is a healthcare organization registered as a point of service in Winter Haven, Florida and active in the NPI registry since March 2017. The organization lists Dane Parker, President, as its authorized official.

NPPES Registry Identity

NPI1386185965
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NamePHYSICIAN CONSULTANT ASSOCIATES LLC
Location Address550 POPE AVE NWWinter Haven, FL 33881-4679
Mailing Address550 Pope Ave NwWinter Haven, FL 33881-4679 · (863) 299-2636 · Fax (863) 662-5288
Phone(863) 299-2636
Fax(863) 662-5288
Organization SubpartNo
Authorized OfficialDane ParkerPresident · (863) 299-2636
Enumeration DateMarch 15, 2017
✔ NPI 1386185965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
550 POPE AVE NW, Winter Haven, FL 33881
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA MARIE VALENTE APRN
Nurse Practitioner (Family)
550 POPE AVE NW
WINTER HAVEN, FL 33881
Polk County (863) 293-2144
ASHRAF M HASSAN
Family Medicine
550 POPE AVE NW
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
GREGORY SEAN PITTMAN PA-C
Physician Assistant (Medical)
550 POPE AVE NW, SUITE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
MRS. KATACEYA ANGELA LAMANNA APRN
Nurse Practitioner (Family)
550 POPE AVE NW
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
RAYPAR INC
Family Medicine
550 POPE AVE NW
WINTER HAVEN, FL 33881
Polk County (863) 299-2636
MS. PATRICIA RENEE PESSAR PA-C
Pediatrics
550 POPE AVE NW
WINTER HAVEN, FL 33881
Polk County (863) 293-2144
DR. JOSEPH SCOTT KENNEDY DNP, APRN, FNP-C
Nurse Practitioner (Family)
550 POPE AVE NW
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
RAYPAR INC
Pediatrics
550 POPE AVE NW, SUITE 100
WINTER HAVEN, FL 33881
Polk County (863) 293-2144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Consultant Associates LLC's NPI number?

The NPI number for Physician Consultant Associates LLC is 1386185965. It was assigned to this organization in the NPPES registry on March 15, 2017.

Where is Physician Consultant Associates LLC located?

Physician Consultant Associates LLC is located at 550 Pope Ave NW, Winter Haven, FL 33881. The listed phone number is (863) 299-2636.

What is Physician Consultant Associates LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Physician Consultant Associates LLC was last updated on March 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.